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Perforator-Plus Flaps in Lower Extremity Reconstruction.

Ping Song1, Lee L Q Pu1

  • 1Division of Plastic Surgery, Department of Surgery, University of California Davis Medical Center, University of California at Davis, 2335 Stockton Boulevard, Room 6008, Sacramento, CA 95817, USA.

Clinics in Plastic Surgery
|March 6, 2021
PubMed
Summary
This summary is machine-generated.

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The perforator-plus flap offers a new, viable option for lower extremity reconstruction, combining enhanced blood supply with versatility and reduced donor site morbidity for durable soft tissue coverage.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Orthopedics

Background:

  • Lower extremity soft tissue defects present reconstructive challenges.
  • Traditional methods may have limitations in terms of donor site morbidity and complexity.
  • Advances in perforator flap techniques have opened new avenues for reconstruction.

Purpose of the Study:

  • To introduce and evaluate the perforator-plus flap as a novel technique for lower extremity reconstruction.
  • To highlight the benefits of combining perforator and rotation flaps for augmented blood supply.
  • To assess the viability and advantages of this technique compared to traditional methods.

Main Methods:

  • The perforator-plus flap concept involves combining a perforator flap with a traditional skin rotation flap.
Keywords:
Lower extremityPerforator flapPerforator-plus flapSkin flapSoft tissue reconstruction

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  • Duplex scan imaging is utilized for improved detection of cutaneous perforators.
  • Surgical technique focuses on versatility, simplicity, and speed.

    • Main Results:

    • The perforator-plus flap provides an augmented blood supply, enhancing its reconstructive potential.
    • This technique offers reduced donor site morbidity compared to traditional free flaps.
    • The procedure is technically simpler and faster to perform, achieving durable soft tissue coverage.

    Conclusions:

    • The perforator-plus flap is a viable and versatile option for lower extremity soft tissue reconstruction.
    • Improved perforator detection and flap design contribute to its success.
    • It offers a promising alternative with significant advantages for patients requiring lower extremity wound coverage.